Category: Journal Club

Musings form the evidence based journal club at St Emlyns

JC: Does Epinephrine work in Cardiac Arrest. St Emlyn’s

Epinephrine use in cardiac arrest is controversial1,2. Despite patho-physiological arguments3,4 that it can improve brain perfusion and even that it may improve the rate of ROSC (Return of Spontaneous Circulation) many have expressed the concern

JC: Tamsulosin and Renal Colic. St Emlyn’s

Renal colic really hurts, believe me I know! It’s one of those conditions that we see in emergency medicine where it really does not matter who you are, if you have good going colic you

JC: Fluid resuscitation in paediatric DKA. St Emlyn’s

Over the years I’ve had some interesting, and not entirely positive interactions when treating diabetic ketoacidosis in kids. These usually focus around some very strongly held views that unless you do exactly what the other

JC: TICH TICH BOOM? TXA in ICH. St Emlyn’s

TXA. Huh. Good god y’all. What is it good for? Absolutely everything. This appears to be the alternative hypothesis for the TICH-2 study 1, published last week in the Lancet. Off the back of recent

JC: Don’t blame it on the Bougie. St Emlyn’s

Many years ago I did my CTR (the Clinical Topic Review*) for my FCEM exam on facilitating intubation in the C-spine immobilised patient. The actual CTR is lost in the mists of time, but the

JC: Oxygen in the Acutely Unwell Patient. St Emlyn;s

When I started in medicine all resuscitation started with some form of supplemental oxygen. Whether that was by face mask, LMA or intubation, oxygen was the mainstay of initial treatment and you would even fail

JC: One Too Many?

That your “drunk” patient with presumed alcohol intoxication is not simply drunk but in fact has a different, potentially life-threatening cause for their reduced conscious level is a lesson best learned early in the Emergency

JC: “To Protect and Serve…and Drop Off”. Penetrating Trauma in Philadelphia. St Emlyn’s

Penetrating trauma is a rising problem on both sides of the Atlantic – just tune into any of the major news channels to see the effect.  Its increasing burden on US prehospital deaths from 2007

Top 10 trauma papers 2017-2018 for @traumacareUK conference. St Emlyn’s

This week I am at the Trauma Care UK conference. If you’ve not been to this one then you should, it’s friendly, great value and aims to influence and engage with all aspects of trauma

Journal Club – Trauma CT in Paediatric Patients

I have a confession to make – I once requested a whole body CT (WBCT) in a paediatric patient. [Yes, yes, I know!] To be fair, we didn’t know he was a paediatric patient at

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